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General NPI Number Information
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NPI Number | 1992460695
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Entity Type | Organization
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Legal Business Name | MJ INVESTMENTS & DEVELOPMENT CO
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Dates
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Enumeration Date | 11/08/2021
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Last Update Date | 12/07/2023
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Provider Practice Location Address
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Address Line | 111 DEER LAKE RD STE 130
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City | DEERFIELD
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State | IL
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Zip | 60015-4978
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Country | US
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Telephone | 855-422-7744
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Fax | 888-810-2014
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Provider Business Mailing Address
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Address Line | 111 DEER LAKE RD STE 130
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City | DEERFIELD
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State | IL
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Zip | 60015-4978
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Country | US
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Telephone | 855-422-7744
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. MONICA JANESE ALLEN
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Credential |
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Telephone | 708-945-9925
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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